Q&A
Acute Cough - answer-(less than 3 weeks)
Subacute Cough - answer-3-8 weeks
Chronic Cough - answer-8 or more weeks
Upper airway cough syndrome - answer-Chronic cough often caused by postnasal
discharge or drainage.
UACS signs and symptoms - answer-chronic cough,
sensation of drainage in the back of the throat,
clearing throat frequently,
hoarseness,
allergic rhinitis symptoms,
Chronic sinusitis symptoms,drainage on the posterior pharynx, hyperemia and
cobblestoning of the the posterior pharynx, negative chest exam
Asthma - answer-inflammation of the airways with varying degrees of airway obstruction
andhyper-responsiveness
Asthma Signs and symptoms - answer-intermittent chest tightness, cough, shortness of
breath, wheezing
Cough usually nonproductive,
deep respiratory effort may prompt cough,
often association with allergic rhinitis or atopic dermatitis
Asthma diagnostic studies - answer-PFT, spirometry
Peak flow not used for diagnosis, but to monitoring ongoing symptoms.
, COPD - answer-When younger patients or non smokers present with COPD, consider
alpha-1 antitrypsin deficiency
COPD - answer-Two related and often coexisting problems:
Chronic Bronchitis
Emphysema
COPD Signs and Symptoms - answer-Chronic Cough
Sputum production
Often hx of exacerbations
Frequent episodes of acute bronchitis
Lung sounds diminished
Barrel Chest
COPD diagnostic tests - answer-Sprirometry
GOLD staging I-IV
MMRC Dyspnea Scale A-D
CAT
COPD CHEST XRAY - answer-shows hyperinflation of lungs with flattened diaphragm.
Used for confirmation but not diagnosis.
Alpha-1 antitrypsin - answer-All patients with COPD or asthma with chronic obstructive
changes should have serum alpha-1 level
Pneumonia - answer-inflammation and consolidation.
Community acquired or Hospital acquired